A Pre-Post Study to Evaluate the Effect of Agnikarma with Guda in Achilles Tendinitis

Abstract

Achilles tendinitis is a condition that is caused by an over use injury of the achilles tendon, and presents with a symptoms like pain, tenderness and weakness of the 4 achilles tendon. In modern medicine the management includes NSAIDs, analgesics, corticosteroid injection and surgical decompression, but these have many complications and the recurrence rate is high in nature. In ayurveda it comes under Snayugata vatavyadhi with treatment modalities such as Snehana, Agnikarma and Upanaha. Based on the structure involved, Susrutha acharya prescribed different type of Dravyas for Agnikarma. Guda is indicated in Snayu Vikaras as a Dahanopakarana. Aim: To evaluate the effect of Agnikarma with Guda in achilles tendinitis. Materials & methods: This is a pre and post clinical trial with 26 participants in a single group selected on the basis of inclusion and exclusion criteria. Tapta Guda (in Bindu form) was dropped on the most tender points of achilles tendon, which was marked before the procedure. Assessment was taken on 1^st day- before and after the procedure, 7^th, 14^th and 21^st day of the procedure. Change in pain and tenderness were taken as outcome variables and were assessed through required scales and the results was analysed using appropriate statistical techniques.